Individual
DR. CLARION ELLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3225 GALLOWS RD, FAIRFAX, VA 22037-0001
(703) 846-4039
(703) 846-1547
Mailing address
5504 DORSET AVE, CHEVY CHASE, MD 20815-6626
(301) 907-3362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101042764
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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